| NPI | 1942257639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA C155379) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD27080) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO 2023025072) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NV 24225) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-09-13 |